Training The Brain 1 Cognitive

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Part of training the brain series focused on Complex Regional Pain Syndrome (CRPS) but relevant to all types of pain.

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Training The Brain 1 Cognitive

  1. 1. Complex Regional Pain www.bodyinmind.com.au Copyright GL Moseley 2009 Syndrome CRPS Rehabilitation (or training the brain) Lorimer Moseley NHMRC Senior Research Fellow Prince of Wales Medical Research Institute & Faculty of Medicine, University of NSW, Sydney, Australia
  2. 2. www.bodyinmind.com.au Copyright GL Moseley 2009 Why train the brain? CRPS as an extreme protective response.
  3. 3. www.bodyinmind.com.au Copyright GL Moseley 2009 Why train the brain? Our approach to treating CRPS Cognitive Behavioural Brain changes Understanding the Function & S1 reorganisation problem movement hierarchy Reorganisation Other threatening elsewhere? cues are relevant ‘training the brain part 1’ ‘training the brain Educate & explain part 2’
  4. 4. www.bodyinmind.com.au Copyright GL Moseley 2009 Why train the brain? Cognitive Behavioural Brain changes Understanding the Function & S1 reorganisation problem movement heirarchy Reorganisation Other threatening elsewhere? cues are relevant Educate & explain
  5. 5. resources DAVID BUTLER | LORIMER MOSELEY | ART SUNYATA www.noigroup.com www.physiouk.co.uk www.OPTP.com www.noigroup.com www.OPTP.com www.physiouk.co.uk www.amazon.com CA$35 & post.
  6. 6. www.bodyinmind.com.au Copyright GL Moseley 2009 1. Nociception is neither sufficient nor necessary for pain.
  7. 7. www.bodyinmind.com.au Copyright GL Moseley 2009 The same thing applies to pain
  8. 8. www.bodyinmind.com.au Copyright GL Moseley 2009 The same thing applies to pain Complex reasoning mechanisms based on experience, context, environment…MEANING
  9. 9. www.bodyinmind.com.au Copyright GL Moseley 2009 The same thing applies to pain Complex reasoning a in mechanisms based on p experience, context, environment…MEANING
  10. 10. www.bodyinmind.com.au Copyright GL Moseley 2009 The same thing applies to pain Complex reasoning mechanisms based on experience, context, environment…MEANING “How dangerous is this really?”
  11. 11. www.bodyinmind.com.au Copyright GL Moseley 2009 Non-noxious input Noxious input
  12. 12. www.bodyinmind.com.au Copyright GL Moseley 2009 Non-noxious input Noxious input
  13. 13. www.bodyinmind.com.au Copyright GL Moseley 2009 Neurons that represent ou physical self Neural networks that evoke ‘basic’ protective responses Non-noxious input Noxious input
  14. 14. www.bodyinmind.com.au Copyright GL Moseley 2009 Neural networks that evoke feelings to assist protection (ie pain)
  15. 15. www.bodyinmind.com.au Copyright GL Moseley 2009 Neural networks that evoke feelings to assist protection (ie pain) Neural networks that evoke ‘basic’ protective responses Motor system Immune system Autonomic system
  16. 16. www.bodyinmind.com.au Copyright GL Moseley 2009 multi-system outputs “How dangerous is this really?”
  17. 17. www.bodyinmind.com.au Copyright GL Moseley 2009 Every represented byte can modulate Pain ‘Basic’ protective responses Motor system Immune system Autonomic system
  18. 18. www.bodyinmind.com.au Copyright GL Moseley 2009 Every represented byte can modulate Pain ‘Basic’ protective responses Motor system Immune system Autonomic system
  19. 19. www.bodyinmind.com.au Copyright GL Moseley 2009 Every represented byte can modulate Pain ‘Basic’ protective responses Motor system Immune system Autonomic system
  20. 20. www.bodyinmind.com.au Copyright GL Moseley 2009 Every represented byte can modulate Pain ‘Basic’ protective responses Motor system Immune system Autonomic system
  21. 21. www.bodyinmind.com.au Copyright GL Moseley 2009 Every represented byte can modulate Pain ‘Basic’ protective responses Motor system Immune system Autonomic system
  22. 22. www.bodyinmind.com.au Copyright GL Moseley 2009 Every represented byte can modulate Sum evaluative inputs = Need to protect Pain ‘Basic’ protective responses Motor system Immune system Autonomic system
  23. 23. www.bodyinmind.com.au Copyright GL Moseley 2009 Why train the brain? Our approach to treating CRPS Go to the Behavioural next set of Function & movement slides: hierarchy ‘training the brain part 1’

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